FORM 4 --------------------------------
OMB APPROVAL
OMB Number 3235-0287
|_| CHECK THIS BOX IF NO LONGER Expires: December 31, 2001
SUBJECT TO SECTION 16. FORM 4 Estimated average burden
OR FORM 5 OBLIGATIONS MAY hours per response...........0.5
CONTINUE. SEE INSTRUCTION 1(b). --------------------------------
U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Hoffman, G. L.
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(Last) (First) (Middle)
5025 Cheshire Lane North
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(Street)
Plymouth, MN 55446
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Insignia Systems, Inc. (ISIG)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
August 2000
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director
[X] Officer (give title below)
[ ] 10% Owner
[ ] Other (specify below)
Chairman
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7. Individual or Joint/Group Filing (check applicable line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
<TABLE>
<CAPTION>
TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
--------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
<S> <C> <C> <C> <C> <C> <C>
1. Title of 2. Transaction 3. Transaction Code 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of
Security Date (Instr. 8) or Disposed of (D) Securities Form: Direct Indirect
(Instr. 3) (Month/ (Instr. 3, 4 and 5) Beneficially (D) or Beneficial
Day/ Owned at Indirect (I) Ownership
Year) End of Month (Instr. 4) (Instr. 4)
(Instr. 3 and 4)
--------- --------- -------- ----------- ------
Code V Amount (A) or (D) Price
--------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
Common Stock 8/4/00 S 100,000 D $5.64 757,500 D
--------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
--------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
--------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
--------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
*If the form is filed by more than one reporting person, SEE Instruction
4(b)(v).
POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF
INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND
UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.
(Over)
SEC 1474 (3-99)
<PAGE>
FORM 4 (CONTINUED)
<TABLE>
<CAPTION>
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
----------- ---------- --------- --------- ------------- --------------- ------------ ----------- ----------- ---------- -----------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1.Title of 2.Conver- 3.Trans- 4.Trans- 5.Number of 6.Date 7.Title and 8.Price of 9.Number of 10.Owner- 11.Nature
Deriv- sion or action action Derivative Exercisable Amount of Deriv- Deriv- ship of
ative Exercise Date Code Securities and Underlying ative ative Form of Indirect
Security Price of (Month/ (Instr. Acquired Expiration Securities Security Secur- Deriva- Bene-
(Instr. Deriv- Day/ 8) (A) or Date (Instr. 3 (Instr. ities tive ficial
3) ative Year) Disposed (Month/Day/ and 4) 5) Benefi- Security: Owner-
Security of (D) Year) cially Direct ship
(Instr. 3, Owned at (D) or (Instr.
4, and 5) End of Indirect 4)
------- ------- ----- ------ Month (I)
Date Expi- Amount (Instr. (Instr.
Exerci- ration Title or 4) 4)
sable Date Number
of
Shares
---- ---- ------ -----
Code V (A) (D)
----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- -----------
----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- -----------
----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- -----------
----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- -----------
----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- -----------
</TABLE>
EXPLANATION OF RESPONSES:
*The Company offered a program to reduce the price of the warrant share from
$2.125 to $1.00 from August 1, 1999 to Sept. 30, 1999.
/s/ G. L. Hoffman 9/7/00
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Date
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, SEE Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
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